TestpBankp-pEssentialspofpMaternity,pNewborn,pandpWomen'spHealthpNursingp(4thpEdition) 1
Table of Contents
p p
TablepofpContents 1
Chapterp01:pPerspectivesponpMaternal,pNewborn,pandpWomenspHealthpCarepC 2
hapterp02:pFamily-CenteredpCommunity-BasedpCare 9
Chapterp03:pAnatomypandpPhysiologypofpthepReproductivepSystempCha 17
pterp04:pCommonpReproductivepIssues 24
Chapterp05:pSexuallypTransmittedpInfectionspChapte 32
rp06:pDisorderspofpthepBreasts 40
Chapterp07:pBenignpDisorderspofpthepFemalepReproductivepTractpChapt 48
erp08:pCancerspofpthepFemalepReproductivepTract 56
Chapterp 09:p Violencep andp Abuse 64
Chapterp10:pFetalpDevelopmentpandpGeneticsp Chapte 72
rp11:pMaternalpAdaptationpDuringpPregnancypChapterp 79
12:pNursingpManagementpDuringpPregnancypChapterp 87
13:pLaborpandpBirthpProcess 95
Chapterp14:pNursingpManagementpDuringpLaborpandpBirthpChapte 103
rp15:pPostpartumpAdaptations 112
Chapterp16:pNursingpManagementpDuringpthepPostpartumpPeriodpChap 120
terp17:pNewbornpTransitioning 128
Chapterp 18:p Nursingp Managementp ofp thep Newborn 136
Chapterp19:pNursingpManagementpofpPregnancypatpRisk- 145
pPregnancypChapterp 20:p Nursingp Managementp of p thep Pregnancyp atp 153
RiskpChapterp21:pNursingpManagementpofpLaborpandpBirthpatpRisk 161
Chapterp22:pNursingpManagementpofpthepPostpartumpWomanpatpRiskp 169
Chapterp23:pNursingpCarepofpthepNewbornpWithpSpecialpNeedspChapte 177
rp24:pNursingpManagementpofpthepNewbornpatpRisk 185
,TestpBankp-pEssentialspofpMaternity,pNewborn,pandpWomen'spHealthpNursingp(4thpEdition) 2
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health Ca
p p p p p p p p p
re
1. ThepUnitedpStatespranksp50thp inpthepworldpforpmaternalpmortalitypandp41stpamongpindustrializedpnationspforpin
fantpmortalityprate.pWhenpdevelopingpprogramsptopassistpinpdecreasingptheseprates,pwhichpfactorpwouldp mostpl
ikelypneedptopbepaddressedpasphavingpthepgreatestpimpact?
A) Resolvingp allp languagep andp culturalp differences
B) Assuringp earlyp andp adequatep prenatalp care
C) Providingpmorepextensivepwomen'spshelterspD)
Encouragingpallpwomenptopeatpapbalancedpdiet
2. Whenp integratingp thep principlesp ofp family-centeredp care,p thep nursep wouldp includep whichp ofp thep following?
A) Childbirthp isp viewedp asp ap proceduralp event
B) Familiesp arep unablep top makep informedp choices
C) Childbirthp resultsp inp changesp inp relationships
D) Familiesp requirep littlep informationp top makep appropriatep decisions
3. Whenppreparingpapteachingpplanpforpapgrouppofpfirst-
timeppregnantpwomen,pthepnursepexpectsptopreviewphowp maternitypcarephaspchangedpoverpthepyears.pWhichpofpth
epfollowingpwouldpthepnursepincludepwhenpdiscussingp eventspofpthep20thpcentury?
A) Epidemicsp ofp puerperalp fever
B) Performancep ofp thep firstp cesareanp birth
C) Developmentp ofp thep x-rayp top assessp pelvicp size
D) Creationp ofp free-standingp birthp centers
4. Afterpteachingpapgrouppofpstudentspaboutppregnancy-
relatedpmortality,pthepinstructorpdeterminespthatpadditionalpteachingpispneededpwhenpthepstudentspidenti
fypwhichpconditionpaspapleadingpcause?
A) Hemorrhage
B) Embolism
C) Obstructedp labor
,TestpBankp-pEssentialspofpMaternity,pNewborn,pandpWomen'spHealthpNursingp(4thpEdition) 3
D) Infection
5. Thepnursepispworkingpwithpapgrouppofpcommunityphealthpmembersptopdeveloppapplanptopaddresspthepspecialpheal
thp needsp ofp women.p Whichp ofp thep followingp conditionsp wouldp thep groupp addressp asp thep majorp problem?
A) Smoking
B) Heartp disease
C) Diabetes
pD)Cancer
6. Whenpassessingpapfamilypforppossiblepbarriersptophealthpcare,pthepnursepwouldpconsiderpwhichpfactorptopbepm
ostpimportant?
A) Language
B) Healthp carep workersp attitudes
C) Transportationp
D)Finances
7. Afterpteachingpapgrouppofpnursingpstudentspaboutpthepissuepofpinformedpconsent.pWhichpofpthepfollowing,pifp id
entifiedpbypthepstudent,pwouldpindicatepanpunderstandingpofpapviolationpofpinformedpconsent?
A) Performingp ap procedurep onp ap 15-year-oldp withoutp consent
B) Servingp asp ap witnessp top thep signaturep process
C) Askingp whetherp thep clientp understandsp whatp shep isp signing
D) Gettingp verbalp consentp overp thep phonep forp emergencyp procedures
8. Thepnursepisptryingptopgetpconsentptopcarepforpanp11-year-
oldpboypwithpdiabeticpketoacidosis.pHispparentsparep outp ofp townp onp vacation,p andp thep childp isp stayingp withp ap
neighbor.p Whichp actionp wouldp bep thep priority?
A) Gettingp telephonep consentp withp twop peoplep listeningp top thep verbalp consent
B) Providingp emergencyp carep withoutp parentalp consent
C) ContactingpthepchildspauntporpuncleptopobtainptheirpconsentpD)Ad
vocatingpforpterminationpofpparentalprightspforpthispsituation
, TestpBankp-pEssentialspofpMaternity,pNewborn,pandpWomen'spHealthpNursingp(4thpEdition) 4
9. Afterpteachingpnursingpstudentspaboutpthepbasicpconceptspofpfamily-
centeredpcare,pthepinstructorpdeterminespthatpthepteachingpwaspsuccessfulpwhenpthepstudentspstatepwhichpofpthep
following?
A) Childbirthp affectsp thep entirep family,p andp relationshipsp willp change.
B) Familiesp arep notp capablep ofpmakingp healthp carep decisionsp forp themselves.
C) Mothersp arep thep familyp membersp affectedp byp childbirth.
D) Childbirthp isp ap medicalp procedure.
10. Apnursingpinstructorpisppreparingpapclasspdiscussionponptheptrendspinphealthpcarepandphealthpcarepdeliverypov
erptheppastpseveralpcenturies.pWhenpdiscussingpthepchangespduringptheppastpcentury,pwhichpofpthepfollowing
pwouldpthepinstructorpbepleastplikelyptopinclude?
A) Diseasep prevention
B) Healthp promotion
C) Wellness
D) Analysisp ofp morbidityp andp mortality
11. ApnursepispassignedptopcarepforpanpAsianpAmericanpclient.pThepnursepdevelopspapplanpofpcarepwithpthepunderst
andingpthatpbasedponpthispclientspculturalpbackground,pthepclientpmostplikelypviewspillnesspaspwhichp ofpthepfol
lowing?
A) Causedp byp supernaturalp forces.
B) Ap punishmentp forp sins.
C) Duep top spiritsp orp demons.
D) Fromp anp imbalancep ofp yinp andp yang
12. Apnursepispdevelopingpapplanpofpcarepforpapwomanptopensurepcontinuitypofpcarepduringppregnancy,plabor,pandp ch
ildbirth.p Whichp ofp thep followingp wouldp bep mostp importantp forp thep nursep top incorporatep intop thatp plan?
A) Adheringp top strict,p specificp routines
B) Involvingp ap pediatricp physician
C) Educatingp thep clientp aboutp thep importancep ofp ap supportp person
D) Assigningp severalp nursesp asp ap supportp team
13. Apnursingpinstructorpisppreparingpapclasspdiscussionponpcasepmanagementpinpmaternalpandpnewbornphealthpca
re.pWhichpofpthepfollowingpwouldpthepinstructorpincludepaspapkeypcomponent?pSelectpallpthatpapply.
Table of Contents
p p
TablepofpContents 1
Chapterp01:pPerspectivesponpMaternal,pNewborn,pandpWomenspHealthpCarepC 2
hapterp02:pFamily-CenteredpCommunity-BasedpCare 9
Chapterp03:pAnatomypandpPhysiologypofpthepReproductivepSystempCha 17
pterp04:pCommonpReproductivepIssues 24
Chapterp05:pSexuallypTransmittedpInfectionspChapte 32
rp06:pDisorderspofpthepBreasts 40
Chapterp07:pBenignpDisorderspofpthepFemalepReproductivepTractpChapt 48
erp08:pCancerspofpthepFemalepReproductivepTract 56
Chapterp 09:p Violencep andp Abuse 64
Chapterp10:pFetalpDevelopmentpandpGeneticsp Chapte 72
rp11:pMaternalpAdaptationpDuringpPregnancypChapterp 79
12:pNursingpManagementpDuringpPregnancypChapterp 87
13:pLaborpandpBirthpProcess 95
Chapterp14:pNursingpManagementpDuringpLaborpandpBirthpChapte 103
rp15:pPostpartumpAdaptations 112
Chapterp16:pNursingpManagementpDuringpthepPostpartumpPeriodpChap 120
terp17:pNewbornpTransitioning 128
Chapterp 18:p Nursingp Managementp ofp thep Newborn 136
Chapterp19:pNursingpManagementpofpPregnancypatpRisk- 145
pPregnancypChapterp 20:p Nursingp Managementp of p thep Pregnancyp atp 153
RiskpChapterp21:pNursingpManagementpofpLaborpandpBirthpatpRisk 161
Chapterp22:pNursingpManagementpofpthepPostpartumpWomanpatpRiskp 169
Chapterp23:pNursingpCarepofpthepNewbornpWithpSpecialpNeedspChapte 177
rp24:pNursingpManagementpofpthepNewbornpatpRisk 185
,TestpBankp-pEssentialspofpMaternity,pNewborn,pandpWomen'spHealthpNursingp(4thpEdition) 2
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health Ca
p p p p p p p p p
re
1. ThepUnitedpStatespranksp50thp inpthepworldpforpmaternalpmortalitypandp41stpamongpindustrializedpnationspforpin
fantpmortalityprate.pWhenpdevelopingpprogramsptopassistpinpdecreasingptheseprates,pwhichpfactorpwouldp mostpl
ikelypneedptopbepaddressedpasphavingpthepgreatestpimpact?
A) Resolvingp allp languagep andp culturalp differences
B) Assuringp earlyp andp adequatep prenatalp care
C) Providingpmorepextensivepwomen'spshelterspD)
Encouragingpallpwomenptopeatpapbalancedpdiet
2. Whenp integratingp thep principlesp ofp family-centeredp care,p thep nursep wouldp includep whichp ofp thep following?
A) Childbirthp isp viewedp asp ap proceduralp event
B) Familiesp arep unablep top makep informedp choices
C) Childbirthp resultsp inp changesp inp relationships
D) Familiesp requirep littlep informationp top makep appropriatep decisions
3. Whenppreparingpapteachingpplanpforpapgrouppofpfirst-
timeppregnantpwomen,pthepnursepexpectsptopreviewphowp maternitypcarephaspchangedpoverpthepyears.pWhichpofpth
epfollowingpwouldpthepnursepincludepwhenpdiscussingp eventspofpthep20thpcentury?
A) Epidemicsp ofp puerperalp fever
B) Performancep ofp thep firstp cesareanp birth
C) Developmentp ofp thep x-rayp top assessp pelvicp size
D) Creationp ofp free-standingp birthp centers
4. Afterpteachingpapgrouppofpstudentspaboutppregnancy-
relatedpmortality,pthepinstructorpdeterminespthatpadditionalpteachingpispneededpwhenpthepstudentspidenti
fypwhichpconditionpaspapleadingpcause?
A) Hemorrhage
B) Embolism
C) Obstructedp labor
,TestpBankp-pEssentialspofpMaternity,pNewborn,pandpWomen'spHealthpNursingp(4thpEdition) 3
D) Infection
5. Thepnursepispworkingpwithpapgrouppofpcommunityphealthpmembersptopdeveloppapplanptopaddresspthepspecialpheal
thp needsp ofp women.p Whichp ofp thep followingp conditionsp wouldp thep groupp addressp asp thep majorp problem?
A) Smoking
B) Heartp disease
C) Diabetes
pD)Cancer
6. Whenpassessingpapfamilypforppossiblepbarriersptophealthpcare,pthepnursepwouldpconsiderpwhichpfactorptopbepm
ostpimportant?
A) Language
B) Healthp carep workersp attitudes
C) Transportationp
D)Finances
7. Afterpteachingpapgrouppofpnursingpstudentspaboutpthepissuepofpinformedpconsent.pWhichpofpthepfollowing,pifp id
entifiedpbypthepstudent,pwouldpindicatepanpunderstandingpofpapviolationpofpinformedpconsent?
A) Performingp ap procedurep onp ap 15-year-oldp withoutp consent
B) Servingp asp ap witnessp top thep signaturep process
C) Askingp whetherp thep clientp understandsp whatp shep isp signing
D) Gettingp verbalp consentp overp thep phonep forp emergencyp procedures
8. Thepnursepisptryingptopgetpconsentptopcarepforpanp11-year-
oldpboypwithpdiabeticpketoacidosis.pHispparentsparep outp ofp townp onp vacation,p andp thep childp isp stayingp withp ap
neighbor.p Whichp actionp wouldp bep thep priority?
A) Gettingp telephonep consentp withp twop peoplep listeningp top thep verbalp consent
B) Providingp emergencyp carep withoutp parentalp consent
C) ContactingpthepchildspauntporpuncleptopobtainptheirpconsentpD)Ad
vocatingpforpterminationpofpparentalprightspforpthispsituation
, TestpBankp-pEssentialspofpMaternity,pNewborn,pandpWomen'spHealthpNursingp(4thpEdition) 4
9. Afterpteachingpnursingpstudentspaboutpthepbasicpconceptspofpfamily-
centeredpcare,pthepinstructorpdeterminespthatpthepteachingpwaspsuccessfulpwhenpthepstudentspstatepwhichpofpthep
following?
A) Childbirthp affectsp thep entirep family,p andp relationshipsp willp change.
B) Familiesp arep notp capablep ofpmakingp healthp carep decisionsp forp themselves.
C) Mothersp arep thep familyp membersp affectedp byp childbirth.
D) Childbirthp isp ap medicalp procedure.
10. Apnursingpinstructorpisppreparingpapclasspdiscussionponptheptrendspinphealthpcarepandphealthpcarepdeliverypov
erptheppastpseveralpcenturies.pWhenpdiscussingpthepchangespduringptheppastpcentury,pwhichpofpthepfollowing
pwouldpthepinstructorpbepleastplikelyptopinclude?
A) Diseasep prevention
B) Healthp promotion
C) Wellness
D) Analysisp ofp morbidityp andp mortality
11. ApnursepispassignedptopcarepforpanpAsianpAmericanpclient.pThepnursepdevelopspapplanpofpcarepwithpthepunderst
andingpthatpbasedponpthispclientspculturalpbackground,pthepclientpmostplikelypviewspillnesspaspwhichp ofpthepfol
lowing?
A) Causedp byp supernaturalp forces.
B) Ap punishmentp forp sins.
C) Duep top spiritsp orp demons.
D) Fromp anp imbalancep ofp yinp andp yang
12. Apnursepispdevelopingpapplanpofpcarepforpapwomanptopensurepcontinuitypofpcarepduringppregnancy,plabor,pandp ch
ildbirth.p Whichp ofp thep followingp wouldp bep mostp importantp forp thep nursep top incorporatep intop thatp plan?
A) Adheringp top strict,p specificp routines
B) Involvingp ap pediatricp physician
C) Educatingp thep clientp aboutp thep importancep ofp ap supportp person
D) Assigningp severalp nursesp asp ap supportp team
13. Apnursingpinstructorpisppreparingpapclasspdiscussionponpcasepmanagementpinpmaternalpandpnewbornphealthpca
re.pWhichpofpthepfollowingpwouldpthepinstructorpincludepaspapkeypcomponent?pSelectpallpthatpapply.
